Holistic procedure of yoga for health

In this modern period, we have all the material comforts scheduled to breakthroughs in technology; this immediate progress and scientific development has transformed the life design of the people, which seems to present many obstacles. Today, one's life-style has changed in all respects, viz physical, mental & social. Mankind suffered with infectious & contagious diseases before 19th century. Thanks to all advancements in modern drugs, it has helped us to get these infectious & contagious diseases in order. These are now changed by psychosomatic health problems which are presuming epidemic proportions. Researchers are knowing that the modern lifestyle has a major contribution because of this. The modern medical technology is realizing its limits in treating these psychosomatic illnesses as evidenced by low success rates in the treatment, side effects of the drugs & continuing upsurge in the incidence of these life style problems. So, people want for some different remedy for his or her problems for effective management of these problems. In the past few years there exists tremendous scope for the Complimentary & Alternative Medications (CAM).

The goal of this article is to provide information about the positive great things about another system. Now is the time to examine our way in dealing with psychosomatic problems. An alteration in frame of mind and lifestyle is necessary to help us to handle the problems and diseases. Over the positive aspect, man gets the potential to search for pragmatic and simple solutions. By finding reasonable alternatives and by creating positive solutions, the issues can be resolved, and the world brought out of its present crisis.

Recent researches show that brain, the psyche takes on a excellent role in almost all of the psychosomatic diseases. The biomedical procedure of modern drugs has viewed only (Physical) superficial facet of one's existence, which in turn appears to have limited its treatment success. Vedas the treasure house of historic Indian science, which include Yoga & Ayurveda, may play an important role in dealing with these diseases with the holistic/ integrated strategy. These two systems play a primary role in the expanded version of CAM. This knowledge is more than 5000 years old. These are the major tools to attain Chaturtha purusharthas (Dharma, Artha, Kama, and Moksha) which is a prime goal of all human being. Inside the classics they very wonderfully explains that, we need long healthy life span to attain chaturvidha purusharthas, ayurveda helps to achieve long healthy life time & yoga is to accomplish an increased goal like Moksha(Liberation). As Yoga may calm down the mind, so in the modern era it is becoming an important tool to take care of these psychosomatic diseases. Even though it is known for higher goal like Moksha, its need of the hour to successful conquering the difficulties of these psychosomatic diseases. Through yoga, you can understand this real cause and take steps to establish serenity and harmony. The methods are integrated in any way levels - Annamaya koa, Pranamaya koa, Manomaya koa, Vij±namaya Koa and nandamaya koa - promoting physical, mental, cultural and spiritual health.

Concept of health and Yoga

"Health is a state of well-being at physical, mental, social and spiritual levels and not merely an lack of disorder or infirmity". This is actually the classification of Health as defined by World Health Corporation (WHO). Ahead of this latest meaning the World Health Organization used only three components e. g. Physical, Mental and Social. The "spiritual" role performed in making a healthy body was very newly identified by this International Power only after knowing the efficiency of yoga as a knowledge in totality, so to say, a built-in and holistic research.

Sri Aurobindo stresses, health is an all-round personality development; at the physical, mental, intellectual, psychological and religious levels. It is a process where the constraints and flaws can be washed away resulting in a superhuman race. The brand new facilities of deeper perceptions of the world beyond the five senses emerge in this stage of superman life. Further growth contributes to man to unfold ever deeper layers of consciousness and widen the spectral range of his knowledge to move towards divinity or perfection. Yoga is a organized conscious process for accelerating the expansion of human being from his animal level and finally to divinity. It really is a systematic technique for all-round personality development on the physical, mental, intellectual, psychological and spiritual components of man. Thus, Yoga in its standard technique for the growth of man to divine heights includes techniques helpful for therapeutic applications in making man healthier. Yoga life-style is characterized by peace and tranquility, harmony and health, love and enjoyment, detail and efficiency.

The aim of this report is to provide information about the positive benefits of an alternate system. Unlike classic treatments where in the use of drugs treat only the surface level of the problems and there are also dangerous side effects, which sometimes may cause more problems the original yoga philosophy respect the human being as an indivisible entity. So that it adopts a alternative approach. The root cause of the present day psychosomatic health problems is the stress. Through yoga, you can understand this real cause and take methods to establish peace and harmony. The approaches are integrated whatsoever levels - ‡ - ¶ (annamaya koa ), ‡ - ¶ (pramaya koa), ‡ - ¶ (manomaya koa ), ‡ - ¶ (vij±namaya koa) and ‡ - ¶(nandamaya koa) - promoting physical, mental, interpersonal and religious health.

Recent research proved the efficacy of yoga in the treatment of psychosomatic diseases, but as it is relatively not used to treat these diseases, experts believe that more research needs to be under considered.

Integrated Methodology of Yoga Remedy (I. A. Y. T)

In ancient science yoga is known for higher goals like Moksha (Liberation). But as we know the necessity of the hour is to use Yoga for treating the psychosomatic disorders. From the last few years yoga gained recognition among the Complimentary & Option Medicines (CAM) in every parts of the entire world. Different people are employing it in different ways. It has additionally be a part of education with its multifold advantages. Yoga is utilized for developing memory space, intelligence and ingenuity.

The modern medical system has changed almost all the traditions system of medicine in different parts of the globe because of its relational basis. It includes proved itself most reliable in saving man from the fatal hands of contagious and infectious diseases. But many psychosomatic ailments and psychiatric problems create a great disruption to the present day medical system. It is here that yoga is making a vital contribution to the modern medical system.

Patanjali defines "YOGA" in his second patanjali's aphorism as; "Yogah Citta Vriti Nirodhah" Yoga is a continuous process of increasing control over your brain which helps us to attain over original talk about. Yoga helps us to remain relaxed and silent under a given situation and to think and act accordingly. According to yoga Vasistha, Yoga is a skilful technique to calm down the mind on the tend it is portrayed as

"Manah Prasamanopayah Yoga Ityabhidhiyate".

According to Bhagwad Gita, it is, "yogah karmasu kausalam" which says yoga is dexterity doing his thing.

According to Sri Aurobindo, health can be an all-round personality development; at the physical, mental, intellectual, psychological and religious levels. It really is a process by which the limitation and defects can be washed away resulting in a super human race. Further growth leads man to unfold even deeper layers of consciousness and broaden the spectral range of his knowledge to more towards divinity or excellence. On this march towards efficiency, Yoga is a systematic mindful process for accelerating the development of a human being from his creature level and in the end to divinity. It really is a systematic methodology for and all round personality development physical, mental, intellectual, psychological and spiritual the different parts of man. Thus, yoga in its general technique for the growth of man to divine heights includes technique useful for therapeutic applications in making man healthier. Yoga not only provides approaches for the development of man from his dog level to levels of perfection it carves out a means of life for him. Yoga way of life in characterized by tranquility and tranquility, harmony and health, love and pleasure, perfection and efficiency.

Pancha kosa:

Pancha Kosa has been taken from Taittireya Upanisad. Individuals existence is made possible because of balance between five layers or Kosas. These Kosas are called Pancha Kosa, the 5 livered existence of individual. The fine Kosas are:

i) Annamaya Kosa: This is the physical coating, over physical body is made of 'anna' or matter. This matter centered facet of our physical personality is Annamaya Kosa. Annamaya Kosa involves five elements are Panchabhutas specifically - earth, water, fire, wind and space. Thus, Annamaya Kosa is the physical frame which is the grossest of the five Kosas.

ii) Pranamaya Kosa: It is prana - the essential push which is the essential fabric of this universe both inside and outside the body. A even harmonious movement of prana to every single all of the Annamya Kosa helps to keep them alive and healthy. Prana flows through nadis to create 'Pancha Prana' namely - Apana, Prana, Udana, Samana and Vyana.

iii) Manomaya Kosas: This is the mental part where thoughts bring about strong emotion. It really is this emotion that is the root cause of all human enjoyment and problems. When this emotion grows more powerful, they govern against our right activities. This causes imbalances called Adhi or stress. Long ranking Adhis get forced into pranamaya and annamaya Kosa creating Vyadhis.

iv) Vijanamaya Kosa: This is actually the discriminating faculty. It works on conscience which consistently books the manamoya kosa to get mastery over the essential instincts. It really is this element of your brain that was developed in people that greatly differentiates man from animals.

v) Anandamaya Kosa: This is the bliss layer of our own existence. This is the most suitable facet of our life which comes from of any form of feelings. Bliss is embodied in Anandamaya Kosa, the highest stage of feeling in the manifested lifestyle. It's the subtest among the list of five layers of living.

The research of health issues:

In
Anandamaya Kosa a guy is healthiest with perfect harmony and balance of all his faculties. At Vijnanamaya Kosa the motions are channelized in the right route. The imbalances start only in the Manomaya Kosa. This imbalance amplifies themselves leading to mental health problems called 'Adhi'. At this time there are no symptoms at the physical level. The mental diseases percolate to the physical from because of the growth of wrong actions. These breed physical diseases are called Vyadhi which is split into Adhija Vyadhi and Anadhija Vyadhi.

The Adhija Vyadhi is two fold- samanya and sara. The past includes diseases incidental to your body. These may be referred to as psychosomatic ailments. However the latter is in charge of rebirth to which all men are subjected.

The second group of problems is Anadija Vyadhi - those which are not originated by brain. These would probably include the infectious and contagious disease.

The disturbances in the Manomaya Kosa percolate in to the physical layer through the Pranamaya Kosa. Hence in the treating these psychosomatic disorders it becomes necessary to just work at all the levels of pancha kosa. The built-in approach thus, consists isn't just dealing with physical sheath, it also includes using technique to operate in several sheaths in our existence. A brief description is given below.

i) Annamaya Kosa: a healthy yogic diet, kriyas, loosing exercises and yogasanas are being used to operate at the annamaya kosa level also to take away the physical symptoms of the problems and also performs an important role in building the strength.

ii) Pranamaya Kosa: Prana is the basic life process. Pranamaya is a process for increasing control over prana. Throughout the techniques of proper respiration, Kriyas pranayamas, we start working on pranamaya Kosa. Thus, health conditions are handled at this pranamaya Kosa level.

iii) Manomaya Kosa: A primary operation upon this level is manufactured possible by the last three limbs of Astanga Yoga of Patanjali-Dharma, Dhyana and Samadhi. A devotional treatment comprising of prayers, chants, Bhajans, Dhuns, Stotras etc. help build a congenial atmosphere to evoke, realize, attenuate and dissipate the sentiment. Therefore, the control over the manomaya kosa means control over the adhis and vyadhis.

iv) Vijnanamaya Kosa: we will come over all the miseries and obsessions by basic understanding and right knowledge. Hearing lectures, discussing and counseling of yoga viewpoint; positives, and constructive subject areas offers the right attitude.

v) Anadamaya Kosa: The body of happiness can only just be helped bring by dealing with a history of blissfulness the techniques used come under the proceeding of Karma Yoga the secret of action.

Thus the IAYT helps us for the full total holistic health and humanity to build a divine contemporary society.

CHAPTER 8: DIABETES MELLITUS

Definition:

Diabetes mellitus (DM) identifies several common metabolic disorders that show the phenotype of hyperglycemia. Several unique types of DM are present and are caused by a complex conversation of genetics and environmental factors. With regards to the etiology of the DM, factors adding to hyperglycemia include reduced insulin secretion, reduced glucose usage, and increased blood sugar creation. The metabolic dysregulation associated with DM causes extra pathophysiologic changes in multiple organ systems that impose a significant burden on the individual with diabetes and on medical care system.

It is most common of the endocrine disorders. Being long-term it influences the metabolism of glucose, protein, fat, water and electrolytes. The effect is by effecting the attention, kidney and nervous system.

This can be an Defense Mediated Diabetes which is caused by a happening called "Auto Immune system Mechanism". Here, the disease fighting capability goes incorrect and produce antibodies. When autoimmune mechanisms are directed against the insulin producing B-cells of the pancreas (diabetes does not occur until 80% of B-cells are demolished). saaaq Then, the pancreas prevents producing insulin or producing inadequate qualities this inhibits glucose from getting into the body skin cells which results higher level of food by means of glucose in the blood stream, this type of diabetes must inject themselves daily with insulin.

Juvenile Onset Diabetes:

This subtype commonly occurs in childhood and adolescence but may appear in any era both sexes can be afflicted.

Idiopathic Diabetes is also type of IDDM. Here eating plays an important part. There is absolutely no proof B-cell destruction. Episodes of climb in blood glucose and ketone accumulation may occur occasionally. The patients may necessitate insulin treatment for success.

In this kind an inappropriate secretion of insulin at the incorrect time or your body concern becomes less responsive to the insulin. In this particular form of diabetes insulin release may actually occur too past due in the pattern so the blood sugar levels level rises to a higher level before insulin is secreted and when it is secreted then that there is a no enough to handle the high blood sugar level. It is called "Non-Insulin Dependent DM" because it can usually be controlled without the utilization of insulin injection. This type was also known as Adult Starting point Diabetes since it occurs most often in people, 40 years and more aged.

Urine Test - Blood sugar appears in urine when the blood glucose level exceeds about 180mg%. This limit is named Renal Kidney threshold for sugar.

Methods of testing Glucose/Glucose.

Benedicts test

Paper remove test.

Glucose Tolerance Test:

Medical Management:

Diabetes mellitus can't be cured completely but can be kept under control by making use of nutritionary changes, drugs or insulin.

Main thing of Management:

To provide quality the life span of diabetic patients

To ease the symptoms of diabetes.

To create good sugars control

To stop diabetes distributing for their problem.

Mode of the Diabetic Management

Diet

Exercise

Medicine

Acupuncture/Acupressure

Yoga

Magnet therapy

Principle of Diet-Planning: A DM patients diet should be able to Supply sufficient amount of energy presenting nutrients like sugars, proteins and extra fat.

-Supply sufficient amounts of minerals and vitamins.

To maintain ideal bodyweight.

To help in avoiding problems of DM.

Yogic Management:

According to yoga, the causes of diabetes are in the mind i. e. stress any percolate right down to Prnamaya kosha and Annamaya Kosha. Hence it's got to be tackled at all the five koshas.

Annamaya Kosa:

Diet control is important; Sithilikarna Vyayama should be utilized to stimulate organs. Asanas brings versatility suppleness to muscular system, help in removing tamasic behaviour. It also activates the vital organs Kriyas, Uddiyanabandha and Agnisara help increasing the blood circulation to the region resulting in getting rid of impurities and revitalizing the pancreas

Pranamaya kosa:

Pranayama is attaining mastery over prana - the basic life giving drive. It regulates the breathing and balances prana. The next practices are extremely helpful.

Sectional deep breathing, Nadi Suddhi and Brahmari etc.

Manomaya Kosa:

The guided meditative practices explained here under are easy to check out and highly beneficial in calming down and slowing down the mind.

OM Mediation

DRT

MSRT

QRT

Cyclic Mediation

Devotional Session

Vijnanamaya Kosa:

At the intellectual level, a national modification is imparted as to "What is real happiness?" i. e. Happy Examination - 'Ananda Mimamsa" an effort to redeem the participants of most miseries and obsessions and attachments. This is done through guidance, satsangs, lectures, maitrimilian etc.

Anandamaya Kosa:

Everybody experienced that Ananda the blissful condition beyond the time and space at least for a short time. May be by accident and might not exactly be aware ways to get that blissful point out again and be in it for longer time if not forever participants are encouraged to be in touch recover blissful talk about through Karma Yoga and Happy Assembly.

Case Record: Type 2 Diabetes Mellitus

Name : Mr. C. R.

Age & Intimacy : 73, Female

Occupation : Agriculture

Marital status : Married

Education : PUC

Date of Entrance :

Date of Release :

Diagnosis : Diabetes Mellitus

Chief Claims:

K/C/O- Diabetes and Hypertension since 15 years

Tingling numbness in feet

Delay in wound healing

BPH and Constipation since 4 years

Kidney rocks since 2 years

History of Present Disorder:

Patent was seemingly normal before 15 years then he surely got to know that he's diabetic when his blood vessels was checked. Later he was started out with the medications. Slowly but surely he developed the Prostate hypertrophy and constipation. Two years again he developed kidney stones.

Personal Record:

Appetite : Normal

Sleep : Disturbed

Bowls : Constipated

Bladder : Repeated urination

Addictions : No

Menstrual/ OBG Record:

Not specific

Past Background:

Had the top injury in street traffic car accident 4 yr ago

He got the clot in the mind and run in 2007

Family Record:

Father and child having high BP

Treatment / Medication Background:

Tab. Riotrill 5 Mg 0-0-1

Tab. Triptomen 0-0-1

Tab. Stamlo Beta 500 Mg 0-0-1

Tab. Glymet GP2 1-0-1

Tab. Plagerine -A 0-1-1

Tab. Storvas 10 Mg 0-0-1

Tab. Himplasia
1-0-1

Tab. Y- Lax Constipation

Social / Stress record:

Wife expired 24 months ago, she was also diabetic

Son is not co-operating

Examination

General Physical Evaluation:

Built: moderate

Pallor: +

Clubbing: NAD

Edema: Mild pitting edema in both legs

Vital Signs or symptoms:

PR: 74/ min

RR: 24/ min

BP: 130/80 mm of Hg

Temp: Normal

Height: 5'6''

Weight: 77 Kg

Systemic Assessment:

CVS: NAD

Investigations:

FBS : 90 mg/dl 1 week ago (Venous bloodstream)

PPBS : 130 mg/ dl

Diagnosis:

Diabetes mellitus with neuropathy

Aim of Present Therapy:

Is to lessen the consistency of urination and enhance the quality of rest.

To reduce the diabetic complications, bring down the medications.

To increase the overall standard of living.

Management & Progress:

The participant went to all the classes and found all of these to be interesting and enlighten. Of the many category he liked CM, primarily he found DM special approach a touch too exhausting. After some time he was toned down to accommodate his health. He relished the lecture by Dr. Raghuramji found them relevant to his life.

Counseling Strategies:

The participant was completely recognized the holistic approach of the IAYT. We prompted him to abstain completely abstain from the sweets during his stay so that he may see plainly that blood glucose level is drooping by time of his release. We motivated him to get involved positively during special strategy sessions and also to practice his own diligently so the aftereffect of each exercise is felt more clearly

The participant responded positively when he started to realizing the improvement, he was more even more inspired. We taught him the "sweet Meditation" and its theory.

The participant treasured many of the lectures as they handled on the realities of day to day life. Mild words of encouragement and praise worked perfectly with this participant.

Results:

General Variables:

S. NO

PARTICULARS

BY

AY

% CHANGE

1

SYS BP (mm of Hg)

130

118

2

DIA BP (mm of Hg)

80

76

3

PULSE (cycles per min)

74

72

4

RR (cycles per min)

24

20

5

BHT(Sec)

8

11

6

WT(Kg)

77

76. 1

Clinical Parameters:

S. NO

PARTICULARS

BY

AY

% CHANGE

1

MEDICATION SCORE (MS)

8

8

2

SYMPTOM Report (SS)

4

1

Psychological Parameters:

S. NO

PARTICULARS

BY

AY

% CHANGE

1

SATVA

21

21

2

RAJAS

2

2

3

TAMAS

2

2

Specific Guidelines:

S. NO

PARTICULARS

BY

AY

% CHANGE

1

FBS(mg/dl)

90

90

2

PPBS(mg/dl)

130

114

CHAPTER 7: Backside PAIN

Definition

Any pain which occurs in your community between the neck and pelvic at any point on the Spine, is referred to as Again Pain.

Back pain is not disease and for that reason, it does not have any cure. Nonetheless it can be controlled.

Causes:

Back pain is a symptom. Common causes of back pain involve disease or injury to the muscles, bones, and/or nerves of the spine. Pain arising from abnormalities of organs within the abdomen, pelvis, or torso can also be felt in the back. That is called referenced pain. Many intra-abdominal disorders, such as appendicitis, aneurysms, kidney diseases, bladder attacks, pelvic microbe infections, and ovarian disorders, among others, can distress referred to the trunk. Normal motherhood can cause back again pain in lots of ways, including extending ligaments within the pelvis, troublesome nerves, and straining the low back. Your physician will have this at heart when analyzing your pain.

The most frequent causes of lower rear pain are sprains and strains. Other conditions that can cause back pain include: disk injury, spinal stenosis, and osteoarthritis of the back, spondylolisthesis, ankylosing spondylitis, osteoporosis and fractures of the lumbar vertebrae, motherhood, fibromyalgia.

Classification:

Several classifications can be found. Feinstein explained 3 major types of clinimetric indexes that are highly relevant to classification systems used for patients with LBP. They are the status index, the prognostic index, and the professional medical guideline index.

Followings are some conditions with a symptom of again pain

Sciatica:

A severe firing pain that radiates from the low back along the back of the thigh down to the outer internal side of the foot.

Radiculopathy:

Pain in the region where the particular nerve has been distributed, because of nerve trap or compression, patient feels pain in that area.

Lumbar spondylosis:

Limited actions of the waist region.

Stiffening of the spine

Cervical spondylosis

Low back again pain, throat pain, headache

Arm pain and throat actions are reduced

Tender place in the trapezium muscles

Arms become vulnerable and lose reflexes.

Coccydynia: Pain in the coccyx region

Ankylosing spondylitis:

Chronic stiffness in the sides and entire spine

Mild to moderate nagging pain in the lumbar region or hips

Lumbago: Acute agony to the buttocks or thighs

Signs and Symptoms:

Depends on kind of Backpain

Diagnostic Conditions:

Asymmetrical straight calf raising

Asymmetrical motions of lumbar spine

Test for pain during movements

Test for neurology defect

Test for back again pain on axial loading

Test for sensory loss

Imaging techniques i. e. CT and MRI

Medical management:

Depends on kind of backpain.

Analgesics & anti-inflammatory.

Surgery

Yogic management:

Prevention is better than cure. Preventive procedures include:

Awareness and correction of posture while standing, sitting down and laying down

Regular exercises

Stress management

Yogic techniques involving slow body movements followed by tactics of deep relaxation are useful in maintaining the power and versatility of the spinal column. Regular practice of a simple set of yoga routines of 45 to 60 min including sјrya Namaskr, loosening practices, 8-10 sana accompanied by deep leisure, Prnnyma and Meditation.

The different Yogic tactics affects on Pancha kosha levels:

Annamaya kosha:

Asana, Physical activities, kriyas, and Yogasanas are used to use at the Annamaya kosa level and also to remove the physical symptoms of the ailments. Kriys: It is a yogic process to detox the inner organs of the body plus they bring the following results: Activating and revitalizing the organs, getting fitter their functions

Desensitization

Development of the deep internal awareness Physical activity and motion: Very easy physical movements to mobilize and activates, particularly, affected areas of the body are being used. Some easy physical exercises are adopted to satisfy the needs of the particular ailments. Loosen the joints, stretch and relax the muscles, enhance the forbearance power, & to build up stamina.

Yogasanas: Yogsanas are physical postures often imitating the natural position of pet animal meant to tranquil the mind. Through postures the physical revitalization, profound relaxation and mental calmness are brought about.

Pranamaya kosha:

The sheath of prana is an activity for attaining control over prana. Awareness and focus on the painful parts give a control over the damaged prana. Sectional breathing, Ndishuddhi, Cooling down prnyma and PET are extremely helpful.

Manomaya kosha:

OM mediation, Bhajan, Satsanga and Nadanusandhana assist in attentiveness and cultivating 'Sattvic' temperament which is a perquisite for any greater achievements in the practice of yoga.

Vijnanamaya kosha

A basic understanding is the key to use with Vijnanamaya koha. Notional modification through counseling varieties the main thing here. Intellectual debate and philosophy pondering assist in the development of viveka.

Anandamaya koha

Happiness is the basis of everything. Setting oneself in this covering while performing activities is the key to happiness.

Spinal canal stenosis

Spinal stenosis is a disorder where there is irregular narrowing in the vertebral canal. This narrowing limits the amount of space available for the spinal-cord and nerves. As spinal stenosis becomes more severe there is compression or squeezing of the spinal cord and its nerves. Vertebral stenosis may appear anywhere in the spinal canal, but it is most common in the cervical and lumbar back.

Causes:

The most frequent reason to develop vertebral stenosis is degenerative arthritis, or bony and soft cells changes that result from ageing. Spinal stenosis is usually seen in patients over 50 years of age, and becomes gradually more severe with increased age. The standard "wear and tear" of ageing can cause arthritis in the back that brings about spinal stenosis. This can be from bone spurs (osteophytes) forming, bulging and wear of the intervertebral discs, and thickening of the ligaments between your vertebrae.

Spinal Stenosis Symptoms

The symptoms of vertebral stenosis be based upon where the stenosis occurs in the spinal canal and how severe it is. Symptoms brought on by compression of the spinal cord are called myelopathy. These can include: worsening balance, dropping, dropping objects, difficulty buttoning buttons or picking right up small cash, and lack of control of the colon and/or bladder. Symptoms brought on by compression of the nerves are called radiculopathy. These range from: pain, numbness, tingling, or weakness along the path of the nerve being compressed.

When stenosis advances in the throat (cervical back stenosis) there can be compression of the spinal cord and the nerves that travel in to the biceps and triceps and hands. This may cause symptoms of: myelopathy, numbness, tingling, weakness or cramping in the biceps and triceps and hands.

When the stenosis builds up in the lower back again (lumbar spine stenosis) there exists compression of the nerves that travel into the legs and ft. This can cause: pain, numbness, tingling, weakness or cramping in the hip and legs and feet, especially gradually with walking and being relieved with relaxing. These symptoms are occasionally known as pseudoclaudication as they mimic the symptoms of inadequate circulation to the legs that is referred to as claudication.

Diagnosis:

Management: There are many treatments designed for vertebral stenosis depending on how severe of symptoms.

Conservative treatment involves medication (aspirin and non-steroidal anti-inflammatory drugs), orthotics (a highly effective thoraco-lumbar spine brace which will keep the spine in a few flexion); exercise (such as a stationary bicycle); and behavior changes (a pushcart when shopping, mild leaning ahead when sitting, avoiding prolonged position, and steering clear of sleeping on the back without pillows under the legs).

Surgery: If traditional treatments are unsuccessful, surgery could be the answer. Using a technique called decompression,

Case Record: Disc prolapsed with canal stenosis

Name : Smt. S. C. N.

Age & Love-making : 38 years

Occupation : Housewife

Marital status : Married

Education : Intermediate

Date of Admission : 9-10-09

Date of Release : 15-10-09

Diagnosis : Disk protrusion at L4-5

Chief Grievances:

Low again pain since 3 years

Pain in Rt. Lumbar region spreads to the both legs since 1 year

Pain increase by twisting ahead 1 year

Pain in heals since 6 months

History of Present Disease:

Patient was evidently normal three years back. Her weight was increased dramatically within a year 5 Kg, one day while lifting much weight in the home she felt little pain in the back she consulted the physician and got the pain killer for 3 days she felt good but after couple of days later her again pain again started out and intensity of pain steadily increased. She consulted Neurologist in NIMHANS and underwent MRI survey confirmed disc protrusion at L4-5. Undergone the traction therapy and painkillers from previous 1 year.

Personal Record:

Appetite : Normal

Sleep : Disturbed by LBA

Bowls : Normal

Bladder : Normal

Addictions : No

Menstrual/ OBG Record:

Regular 2 Times in 30 days cycle,

Two children's (1 man & 1 feminine)

Past Background:

Not specific

Family Record:

Father - hypertension

Treatment / Medication Record:

Tab. Potential Galin 1-0-1

Traction - very little relief

Social / Stress background:

Family stress

Examination

General Physical Exam:

Built: Moderate

Pallor: +

Vital Signs or symptoms:

PR: 86/ min

RR: 22/ min

BP: 128/80 mm of Hg

Temp: Normal

Height: 159 cm

Weight: 75Kg

Systemic Examination:

Tenderness at Rt. Iliac joint.

SLR: left knee 250, Right lower leg 600

Forward bending limited by 900

Backward
bending limited by 250

Investigations:

MRI: Shows light disc protrusion at L4-5

Diagnosis:

Disc protrusion at L4-5

Aim of Present Therapy:

To reduce the pain,

To enhance the mobility

To reduce her weight

Management & Progress:

She is taught

Counseling Strategies:

Results:

General Variables:

S. NO

PARTICULARS

BY

AY

% CHANGE

1

SYS BP (mm of Hg)

120

120

2

DIA BP (mm of Hg)

80

80

3

PULSE (cycles per min)

86

72

4

RR (cycles per min)

22

16

5

BHT(Sec)

8

20

6

WT(Kg)

75. 2

72

7

PFR(Ltr. Per min)

Clinical Guidelines:

S. NO

PARTICULARS

BY

AY

% CHANGE

1

MEDICATION SCORE (MS)

4

2

2

SYMPTOM Rating (SS)

6

4

Psychological Variables:

S. NO

PARTICULARS

BY

AY

% CHANGE

1

SATVA

12

14

2

RAJAS

10

10

3

TAMAS

2

0

Specific Variables:

S. NO

PARTICULARS

BY

AY

% CHANGE

1

SLR

RT. LEG

60

90

2

LT. LEG

30

90

3

SIT & REACH(cm)

-4

+9. 5

BIPOLAR DISORDER

Definition:

Bipolar disorder or manic-depressive disorder, which is generally known as bipolar affective disorder or manic unhappiness, is a psychiatric identification that represents a group of mood disorders identified by the occurrence of one or more episodes of abnormally raised energy, cognition, and feelings with or without a number of depressive episodes. The enhanced moods are medically known as mania or, if milder, hypomania. Individuals who experience manic episodes also commonly experience depressive episodes, or symptoms, or blended episodes in which top features of both mania and depression are present at the same time. These shows are usually separated by times of "normal" spirits; but, in a few individuals, unhappiness and mania may quickly alternate, which is known as speedy cycling. Extreme manic shows can sometimes lead to such psychotic symptoms as delusions and hallucinations.

Causes:

There is well known cause for Bipolar disorder, possible causes are

Childhood precursors

Life events and experiences

Neural processes

Melatonin activity

Psychological processes

Classification:

The disorder has been subdivided into bipolar I, bipolar II, cyclothymia, predicated on the nature and seriousness of mood episodes experienced; the range is often described as the bipolar spectrum.

Signs and symptoms:

Depends on type of episode,

Depressive show: include continual feelings of sadness, anxiety, guilt, anger, isolation, or hopelessness; disturbances in sleep and appetite; fatigue and loss of curiosity about usually gratifying activities; problems concentrating; loneliness, self-loathing, apathy or indifference; depersonalization; loss of interest in sex; shyness or public anxiety; irritability, long-term pain (with or without a known cause); insufficient inspiration; and morbid suicidal ideation. In severe situations, the individual may become psychotic, a disorder also called severe bipolar melancholy with psychotic features.

Manic event: Characterized by a distinct amount of an elevated, expansive, or irritable feeling point out. People commonly experience an increase in energy and a decreased need for sleep. A person's speech may be pressured, with thoughts experienced as race. Attention span is low, and a person in a manic state may be easily distracted. Judgment may become impaired, and victims may continue spending sprees or engage in tendencies that is quite unusual for them. They could indulge in drug abuse, particularly alcoholic beverages or other depressants, cocaine or other stimulants, or sleeping pills. Their behaviour may become hostile, intolerant, or intrusive. People may feel uncontrollable or unstoppable. People may feel they have been "chosen" and are "on a particular objective" or have other grandiose or delusional ideas. Sexual drive may increase. At more extreme phases of bipolar I, a person in a manic talk about can begin to see psychosis or a rest with truth, where thinking is damaged along with ambiance. Many people in a manic talk about experience severe anxiousness and are extremely irritable (to the point of trend), while some are euphoric and grandiose. For being diagnosed with mania according to the Diagnostic and Statistical Manual of Mental Disorders (DSM), a person must experience this talk about of enhanced or irritable spirits, as well as other symptoms, for at least seven days, less if hospitalization is required.

Hypomanic instance: Seen as a optimism, pressure of speech and activity, and reduced need for sleeping. Generally, hypomania will not inhibit operating like mania.

Diagnosis:

There is not any clear consensus as to how many types of bipolar disorder can be found. In DSM-IV-TR and ICD-10, bipolar disorder is conceptualized as a spectrum of disorders occurring on a continuum. The DSM-IV-TR lists three specific subtypes.

Bipolar I disorder

One or even more manic shows, subcategories specify whether there has been more than one episode, and the type of the most recent occurrence. A depressive or hypomanic tv show is not needed for diagnosis, but it frequently occurs.

Bipolar II disorder

No manic shows, but one or more hypomanic episodes and one or more major depressive show. However, a bipolar II prognosis is not a guarantee that they can not eventually suffer from such an tv show in the future. Hypomanic shows do not go directly to the full extremes of mania (i. e. , do not usually cause severe communal or occupational impairment, and are without psychosis), and this can make bipolar II more challenging to diagnose, since the hypomanic episodes may simply seem as an interval of successful high efficiency and it is reported less frequently than a distressing, crippling depression.

Cyclothymia

A record of hypomanic shows with intervals of depression that not meet criteria for major depressive shows. There's a low-grade cycling of ambiance which seems to the observer as a personality trait, and inhibits functioning.

Medical Management:

There are a number of pharmacological and psychotherapeutic techniques used to take care of Bipolar Disorder. Individuals may use self-help and go after a personal restoration voyage.

Mood stabilizer,

Anti psychotic,

Anti depressants are commonly used.

Specific leisure techniques should be targeted.

Hospitalization in case there is severe shows.

Psychotherapy

Behavioral therapy

Cognitive therapy

Re-education

Crisis Intervention

Yogic Management:

The integrated approach of Yoga remedy deals on individual at different levels of lifetime through different methods at each level.

Annamaya kosha: In the beginning one should start with loosening exercises which are body movements repeated with jerks and rate. This can help to distract your brain from loop of duplicating stress producing thoughts. The active practices help to decrease the physical unification of tremors of hands, palpitation. Once it is sidetracked by the first body actions, one can switch on to slower body, activities i. e. Yogasanas and 'Suryanamaskara'. Sttvic diet of maximum quantity maintains them dynamic and helps them to cope over tamasic characteristics. Kriyas is wonderful for introverts and vulnerable mind, as it can help to open up and to strengthen the perseverence and development of deep internal consciousness.

Pranamaya kosha: Deep breathing practices involving gradual deep breathing continues a person secure the breathing and acceleration of the deep breathing also reduces which reciprocates at the amount of mind by calming down the mind. Kaplabhti and Bhastrika discrete all the stagnation in the prana and cooling down prnyma, ndi shuddhi reduces and balances metabolism respectively.

Manomaya Kosha: Head can be established to further slowing mode by real Dharana and Dhyana, which is nothing but very slow simple and easy flow of sole thought in the mind, sinking into total inner silence for a couple of second. By that one profits better mastery over head. A new behavior of transitioning off your brain to silence and profound rest through the systematic training provides capacity of not getting lost in the stress and anxiety unhappiness loop.

Vijnanamaya Kosha: The proper understanding of today's problem must be brought about. The Yogic counselling, lecture on the idea of disease self-analysis are necessary to overcome the primary cause of problem.

Anandamaya Kosha: At this level, they can be helped to work in a blissful status by using karma yoga and haply assemblage which is very helpful and effective in delivering them out of thus shells. It is common to all emotional ailments characterized by morbid sadness, increased understanding of physical plan and guilt awareness. It is response to emotionally demanding situations.

Case History: Bipolar Disorder (BPD)

Name : Mr. A. N

Age & Intimacy : 18 years, Male

Occupation : Student

Marital position : Unmarried

Education : P U C

Date of Admission :

Date of Release :

Diagnosis : Bipolar disorder

Chief Grievances:

Mood swing since 2 years

Poor judgment

More fantasies

Gets upset quickly

Talks more in home

History of Present Health issues:

Patient was seemingly normal 4 years when he came from residential institution then he started out going out in your own home more frequently and making more friends. Little by little he started getting furious on family members. Since two years he will be sitting quietly for a few period and irritated for some time. They consulted the psychiatrist medication started previous March was went to the 21 rehab camp.

Personal Record:

Appetite : Increased

Sleep : Normal

Bowls : Normal

Bladder : Normal

Addictions : Smoking since four weeks.

Menstrual/ OBG History:

Not specific

Past History:

Nothing significant

Family History:

Father has DM.

Treatment / Medication Background:

Syp. Depakose 200mg BD

Tab. Aleanz 2. 5 mg 0-0-1

Tab. Depalcote 250mg 1-0-1

Social / Stress record:

Examination stress

Future stres

Examination

General Physical Evaluation:

Built : Moderate

Pallor : NAD

Clubbing : NAD

Edema : NAD

Any other :

Vital Signals:

PR: 80/min

RR: 22/min

BP: 106/70 mm of Hg

Temp: Normal

Height: 167 cm

Weight: 72 Kg

Mental examination

Behavioral observation: not having insight

Speech: clear

Orientation: good

Thinking: Fast

Perception:

Mood: Swing

Investigations:

Not available

Diagnosis:

Bipolar disorder

Aim of Present Remedy:

To enhance the concentration.

To decrease the mood golf swing.

To reduce weight.

Management & Progress:

During our original interactions with the participant, we known that he made an appearance lethargic was not very participative through the special techniques lessons. He described that he is having joint pains. His feelings swings. He was observed to visit rest halfway through pranayama.

Sometimes he'll be friendly and forthcoming whenever we talked to him. He believed good by the actual fact that we comprehended his predicaments and this helped him to start more and more. Eventually, he even confided in us some of his personal secrets opened up in front of us

Counseling Strategies:

The participant was counseled by Smt. Sabita who were able to draw out from his many lings that took place to and been troubling him since young. This helped him to resolve them, we always lent the participant a hearing ear but refrained from supplying him any advice". Instead, we asked her what he did and, or planned to do to triumph over his problem and exactly how he coped during each bout of manic/ anxiety attacks.

We all experienced a good laugh and informed him that everything was fine and that she just must relax more. Even as we arranged with post discharge plans that could keep him mind occupied so that mid not start worrying unnecessarily, he believed encouraged that he's making the right he remaining Prashanti in an exceedingly positive mood, filled up with hope.

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